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Question 01

Which one of the following statements is true of lung cancer?

a) Most are small cell in type

b) Approximately 25% of lung cancers are large cell anaplastic in histological type

c) 80% are due to smoking

d) Screening has proved beneficial

Question 02

Which one of the following is true regarding lung cancer?

a) Adenocarcinomas tend to grow quickly

b) 5% of patients with lung cancer present with, or develop complications of non-metastatic paraneoplastic syndromes

c) Syndrome of inappropriate antidiuretic hormone (SIADH) is associated with hypernatraemia

d) 80-90% of small cell carcinomas have spread beyond the thorax at the time of diagnosis

Question 03

Which one of the following statements is true of small cell lung cancer (SCLC)?

a) Surgery is the most important treatment modality

b) Limited stage disease describes disease less than T2 N1 M0

c) Approximately 80% of patients respond to chemotherapy

d) Prophylactic cranial irradiation has been shown to prolong survival

Question 04

Which one of the following statements is true of surgery for non-small cell lung cancer (NSCLC)?

a) Post-operative mortality rate is approximately 10%

b) About 30% of patients are suitable for resection at diagnosis

c) Pneumonectomy is the most commonly performed operation

d) Surgery offers the best chance of cure

Question 05

Which one of the following is true regarding the management of NSCLC?

a) 5 year survival rates of 15-20% have been reported in selected patients treated with chemo- and radiotherapy

b) Adjuvant radiotherapy should be used in patients following surgical resection

c) NSCLC is more chemosensitive than SCLC

d) Palliative radiotherapy is rarely used

Question 06

Which one of the following statements is true of systemic treatment of NSCLC?

a) Chemotherapy has no effect on survival in advanced NSCLC

b) Adjuvant platinum-based chemotherapy confers no survival benefit

c) Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKI) such as erlotinib have proven active in previously treated patients with advanced NSCLC

d) EGFR-TKI have a higher chance of response in male smokers

Question 07

As regards prognosis of NSCLC:

a) stage IIIa disease is associated with 5 year survival rates of 40%

b) stage IV disease is associated with 5 year survival rates of 8%

c) stage II disease is associated with 5 year survival rates of 50%

d) stage I disease is associated with 5 year survival rates of 60-80%

Question 08

Which of the following is not an effective treatment of breathlessness associated with lung cancer?

a) Pleurodesis

b) Nebulised opioids

c) Regular doses of short acting oral morphine

d) Endobronchial stenting

Question 09

Which one of the following statements is true of mesothelioma?

a) Incidence is decreasing, reflecting the ban on use of asbestos

b) The disease is more common in females

c) All deaths due to mesothelioma should be discussed with the coroner

d) Radical surgery is the treatment of choice

Question 10

Which one of the following symptoms is rare in patients with progressive lung cancer?

a) Haemoptysis

b) Hypercalcaemia

c) Headache

d) Urinary retention

Oxford University Press, Online Resource Centre, Lung Cancer.

Lung Cancer

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